UK Inquiry Tracker

Yazin Elhjaje

PFD Report Historic (No Identified Response) Ref: 2024-0601

Date of Report 26 April 2018

Coroner M E Voisin

Coroner Area Avon

Response Deadline est. 1 January 2025

Child Death (from 2015) Hospital Death (Clinical Procedures and medical management) related deaths

Judiciary.uk Report PDF

Coroner's Concerns (AI summary)

Safety-netting advice provided upon discharge focused solely on headaches, failing to include information about the differential diagnosis of meningitis, despite it being considered.

View full coroner's concerns

heard during the inquest that the safety-netting advice on discharge given to Yazin'$ parents was in relation to his headaches and not in relation to the differential diagnosis of meningitis. would ask that consideration is given to the safety-netting advice provided to parents in cases where meningitis has been considered as of the differential diagnosis as in this case_

Sent To

University Hospitals Bristol NHS Trust

Response Status

Linked responses 0 of 1

56-Day Deadline 1 Jan 2025

About PFD responses

Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.

Source: Courts and Tribunals Judiciary

Report Sections

Investigation and Inquest

On 18/10/2017 commenced an investigation into the death of Yazin ELHJAJE: The investigation concluded at the end of the inquest 26th April 2018. The conclusion of the inquest was a narrative which read as follows: Yazin died from bacterial meningitis which was diagnosed on 7th October 2017. He had been unwell for about a week with a headache but since 5th October developed a fever. On 7th October at Zam he was seen at the hospital examined and discharged, he did not have a full set of observations and his discharge letter stated that meningitis had not been completely ruled out: He was discharged at 2.45 am and his condition over the day deteriorated: He was taken by ambulance to the hospital at around Spm on 7th October 2017 but died on 8 despite the treatment provided at that time;

Circumstances of the Death

Yazin Elhjaje became ill on 6th October 2017 and was taken to see his general practitioner, she was concerned about his presentation and that it could be meningitis, he was managed at home and then taken to hospital later that day with a letter from the general practitioner raising her concern: Yazin was examined and discharged with a diagnosis of sinusitis. His condition deteriorated over the next few hours and he was taken back to the hospital by ambulance; by now he was very ill, it was confirmed that he probably had meningitis, his condition deteriorated despite the treatment and he died on &th October 2017 at Bristol Royal Hospital for Children Upper Maudlin Street Bristol The Coroner'$ Court; Old Weston Road, Flax Bourton, BS48 1UL

Action Should Be Taken

In my opinion action should be taken to prevent future deaths and believe you have the power to take such action.

Copies Sent To

coroner com The Coroner's Court; Old Weston Road, Flax Bourton, BS48 1UL part

Inquest Conclusion

Yazin died from bacterial meningitis which was diagnosed on 7th October 2017. He had been unwell for about a week with a headache but since 5th October developed a fever. On 7th October at Zam he was seen at the hospital examined and discharged, he did not have a full set of observations and his discharge letter stated that meningitis had not been completely ruled out: He was discharged at 2.45 am and his condition over the day deteriorated: He was taken by ambulance to the hospital at around Spm on 7th October 2017 but died on 8 despite the treatment provided at that time;